MEDICARE: BRETT MCBRIDE DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	O-1631	ID

General Provider Information

NPI Number	:	1770017568
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRETT MCBRIDE DO

Provider Business Mailing Address
First Line	:	287 ROCK HOLLOW LN
Second Line	:
City	:	IDAHO FALLS
State	:	ID
Zip	:	83401-6172
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2805 VALENCIA DR
Second Line	:
City	:	IDAHO FALLS
State	:	ID
Zip	:	83404-7597
Country	:	US
Telephone Number	:	208-525-9400
Fax Number	:	208-525-6151

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2017
Last Update Date	:	02/02/2026

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Directions to “ BRETT MCBRIDE DO” Practice Location

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